<!DOCTYPE html>
<html>
    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
        <title></title>
    </head>
    <body>
        <form name="registro" action="registroc.php" method="POST">
            <input name="email" type="email" placeholder="Email" />
            <br />
            <input name="nombre" type="text" placeholder="Nombre" />
            <br />
            <input name="apellidos" type="text" placeholder="Apellidos" />
            <br />
            <input name="password" type="text" placeholder="Contrase&ntilde;a" />
            <br />
            <input name="passwordr" type="text" placeholder="Repetir contrase&ntilde;a" />
            <br />
            Fecha de nacimiento:
            <br />
            <select name="dia">
                <option value="1">1</option>
                <option value="2">2</option>
                <option value="3">3</option>
                <option value="4">4</option>
                <option value="5">5</option>
                <option value="6">6</option>
                <option value="7">7</option>
                <option value="8">8</option>
                <option value="9">9</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option>
                <option value="13">13</option>
                <option value="14">14</option>
                <option value="15">15</option>
                <option value="16">16</option>
                <option value="17">17</option>
                <option value="18">18</option>
                <option value="19">19</option>
                <option value="20">20</option>
                <option value="21">21</option>
                <option value="22">22</option>
                <option value="23">23</option>
                <option value="24">24</option>
                <option value="25">25</option>
                <option value="26">26</option>
                <option value="27">27</option>
                <option value="28">28</option>
                <option value="29">29</option>
                <option value="30">30</option>
                <option value="31">31</option>
            </select>
            <select name="mes">
                <option value="1">Enero</option>
                <option value="2">Febrero</option>
                <option value="3">Marzo</option>
                <option value="4">Abril</option>
                <option value="5">Mayo</option>
                <option value="6">Junio</option>
                <option value="7">Julio</option>
                <option value="8">Agosto</option>
                <option value="9">Septiembre</option>
                <option value="10">Octubre</option>
                <option value="11">Noviembre</option>
                <option value="12">Diciembre</option>
            </select>
            <input name="ano" type="text" />
            <br />
            <br />
            <input type="submit" />
            <input name="enviar" type="button" onClick="validarFormulario(document.registro)" value="Enviar" />
        </form>
    </body>
</html>
